Provider Demographics
NPI:1124513585
Name:HOUSTON METRO UROLOGY
Entity type:Organization
Organization Name:HOUSTON METRO UROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUHS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-351-0630
Mailing Address - Street 1:4223 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-6856
Mailing Address - Country:US
Mailing Address - Phone:832-444-8602
Mailing Address - Fax:
Practice Address - Street 1:4223 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6856
Practice Address - Country:US
Practice Address - Phone:832-444-8602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies